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Üniversite Öğrencilerinin Uyku Tercihlerinde Sağlığın Sosyal Belirleyicilerinin Rolü: Kesitsel Bir Çalışma

Yıl 2025, Cilt: 9 Sayı: 3, 333 - 344, 30.09.2025
https://doi.org/10.46237/amusbfd.1567795

Öz

Amaç: Üniversite öğrencilerinde uyku sağlığı bir halk sağlığı sorunudur. Üniversite öğrencileri genellikle yetersiz uyku kalitesine sahiptir ve özellikle akşam tipi (E-tipi) uykuyu tercih etmektedirler. Bu çalışmanın amacı, yurtlarda yaşayan üniversite öğrencilerinin (n= 380) uyku tercihleri ile sağlığın sosyal belirleyicileri arasındaki ilişkiyi araştırmaktır.
Yöntem: Bu çalışma tanımlayıcı-ilişkisel bir çalışmadır. Veri toplama araçları Kişisel Bilgi Formu, Üniversite Öğrencileri için Sağlığın Sosyal Belirleyicileri Ölçeği ve Sabah-Akşam Uyku Ölçeği'dir.
Bulgular: Bu çalışma, sağlığın sosyal belirleyicileri ile uyku tercihleri arasında istatistiksel olarak anlamlı bir ilişki olduğunu ortaya koymuştur (p<0,05). Üniversite öğrencilerinin sosyal sağlık ihtiyaçları azaldıkça sabah uykusunu (r: -0,628) ve sosyal sağlık ihtiyaçları arttıkça akşam uykusunu (r:0,673) tercih ettikleri görüldü.
Sonuç: E-tipi üniversite öğrencilerinin uyku kalitelerini artırmak için sosyal sağlık ihtiyaçlarının karşılanması gerekmektedir. Sağlık profesyonelleri, halk sağlığı hemşireleri ve ya sosyal hizmet uzmanları sağlığın sosyal belirleyicilerini tespit edebilir ve sosyal sağlık ihtiyaçları olan üniversite öğrencileri için müdahale stratejileri uygulayabilir.

Teşekkür

Veri toplama aşamasında destek olan hemşirelik öğrencilerinden Cennet Bostancı, Merve Nur Şavluk, Rabia Berna Uğuz, Aysu Yılmaz ve Begüm Demir' e teşekkür ederim.

Kaynakça

  • 1. Becerra, M. B., Bol, B. S., Granados, R., & Hassija, C. (2020). Sleepless in school: The role of social determinants of sleep health among college students. Journal of American College Health, 68(2), 185–191. doi:10.1080/07448481.2018.1538148
  • 2. Sivertsen, B., Harvey, A. G., Gradisar, M., Pallesen, S., & Hysing, M. (2021). Delayed sleep–wake phase disorder in young adults: prevalence and correlates from a national survey of Norwegian university students. Sleep Medicine, 77, 184–191. doi:10.1016/j.sleep.2020.09.028.
  • 3. Wang, F., & Bíró, É. (2021). Determinants of sleep quality in college students: A literature review. Explore, 17(2), 170–177. doi:10.1016/ j.explore.2020.11.003.
  • 4. Silva, V. M., Magalhaes, J. E. de M., & Duarte, L. L. (2020). Quality of sleep and anxiety are related to circadian preference in university students. Plos One, 15(9), e0238514. doi:10.1371/journal.pone.0238514
  • 5. Montaruli, A., Castelli, L., Mulè, A., Scurati, R., Esposito, F., Galasso, L., & Roveda, E. (2021). Biological rhythm and chronotype: New perspectives in health. Biomolecules, 11(4), 487. doi:10.3390/biom11040487
  • 6. Castelli, L., Galasso, L., Mulè, A., Ciorciari, A., Esposito, F., Roveda, E., & Montaruli, A. (2023). Physical activity and morningness: A helpful combination in improving the sleep quality of active Italian university students. Chronobiology International, 40(8), 1028–1038. doi:10.1080/07420528.2023.2241906
  • 7. Billings, M. E., Hale, L., & Johnson, D. A. (2020). Physical and social environment relationship with sleep health and disorders. Chest, 157(5), 1304–1312. doi:10.1016/j.chest.2019.12.002
  • 8. Koo, D. L., Yang, K. I., Kim, J. H., Kim, D., Sunwoo, J., Hwangbo, Y., & Hong, S. B. (2021). Association between morningness‐eveningness, sleep duration, weekend catch‐up sleep and depression among Korean high‐ school students. Journal of Sleep Research, 30(1). doi:10.1111/jsr.13063
  • 9. Merikanto, I., Kortesoja, L., Benedict, C., Chung, F., Cedernaes, J., Espie, C. A., & Bjorvatn, B. (2022). Evening-types show highest increase of sleep and mental health problems during the COVID-19 pandemic multinational study on 19 267 adults. Sleep, 45(2). doi:10.1093/sleep/ zsab216
  • 10. Norbury, R. (2021). Diurnal preference and depressive symptomatology: A meta-analysis. Scientific Reports, 11(1), 12003. doi:10.1038/s41598-021-91205-3
  • 11. Centers for Disease Control and Prevention. (2022). Social determinants of health. Retrieved from https://www.cdc.gov/about/sdoh/ index.html
  • 12. Kuriyama, K. (2024). Social determinants of sleep quality: association between sleep quality and living environment among older individuals. Sleep and Biological Rhythms, 22(3), 301–302. doi:10.1007/ s41105-024-00533-0
  • 13. Marmot, M. (2020). Health equity in England: the marmot review 10 years on. BMJ, m693. doi:10.1136/bmj.m693
  • 14. Daliri Dizaj, M., & Hatami Khanghahi, T. (2022). Students’ residential preferences: a case study is dormitories of University of Mohaghegh Ardabili. Journal of Asian Architecture and Building Engineering, 21(4), 1348–1363. doi:10.1080/13467581.2021.1941987
  • 15. Cohen, J. (1992). Statistical power analysis. Current Directions in Psychological Science, 1(3), 98–101. doi:10.1111/1467-8721.ep10768783
  • 16. Ekenler, G., & Altınel, B. (2021). Hemşirelik öğrencilerinde uyku kalitesi ile akademik başarı arasındaki ilişkinin incelenmesi. Online Türk Sağlık Bilimleri Dergisi, 6(4), 575–582. doi:10.26453/otjhs.883544
  • 17. Arifuddin MK, Shashiraj HK, & Kavitha BS. (2021). Morningness- eveningness preferences among first year medical students. Scholars International Journal of Anatomy and Physiology, 4(3), 32–34. doi:10.36348/sijap.2021.v04i03.003
  • 18. Johnson, K. F., Brookover, D. L., & Bradbrook, K. (2022). Social health needs and promotive health factors scale for college students: Scale development and initial validation. Journal of American College Health, 70(1), 74–83. doi:10.1080/07448481.2020.1725021
  • 19. Karatana, Ö. (2024). Adaptation of the social determinants of health scale for university students to Turkish: A validity and reliability study. İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi, 21, 769–779. doi:10.38079/igusabder.1224152
  • 20. Demirhan, E., Önder, İ., Horzum, M. B., Masal, E., & Beşoluk, Ş. (2019). Adaptation of the morningness–eveningness stability scale improved (MESSi) into Turkish. Chronobiology International, 36(3), 427–438. doi:10.1080/07420528.2018.1560307
  • 21. Tabachnick, B. G., & Fidell, L. S. (2021). Using multivariate statistics, 7th edition. Pearson.
  • 22. Driller, M., Suppiah, H., Gastin, P. B., & Beaven, C. M. (2021). Questionnaire-derived sleep habits and academic achievement in first year university students. Clocks & Sleep, 4(1), 1–7. doi:10.3390/ clockssleep4010001
  • 23. Martinez-Cardoso, A., Jang, W., & Baig, A. A. (2020). Moving diabetes upstream: The social determinants of diabetes management and control among immigrants in the US. Current Diabetes Reports, 20(10), 48. doi:10.1007/s11892-020-01332-w
  • 24. Phillips, A. J. K., Clerx, W. M., O’Brien, C. S., Sano, A., Barger, L. K., Picard, R. W., & Czeisler, C. A. (2017). Irregular sleep/wake patterns are associated with poorer academic performance and delayed circadian and sleep/ wake timing. Scientific Reports, 7(1), 3216. doi:10.1038/s41598-017-03171-4
  • 25. Acar, G. A. (2018). Sağlıkla ilgili eğitim veren fakültelerdeki öğrencilerin uyku kalitesinin belirlenmesi. Pamukkale Medical Journal. doi:10.31362/ patd.399606
  • 26. Yilbas, B., & Gunel Karadeniz, P. (2022). The relationship between chronotype and impulsivity, attention-deficit disorder, internet, social media, and smartphone addiction. Alpha Psychiatry, 23(4), 203–209. doi:10.5152/alphapsychiatry.2022.21656
  • 27. Hasan, M. M., Jankowski, K. S., & Khan, M. H. A. (2022). Morningness- eveningness preference and shift in chronotype during COVID-19 as predictors of mood and well-being in university students. Personality and Individual Differences, 191, 111581. doi:10.1016/j.paid.2022.111581
  • 28. Önder, İ. (2022). Association of happiness with morningness - eveningness preference, sleep-related variables and academic performance in university students. Biological Rhythm Research, 53(6), 950–965. doi:10.1080/09291016.2020.1848266
  • 29. Nouri, A., Esmaeili, F., Seyedi, H., Rezaeian, S., Panjeh, S., Cogo-Moreira, H., & Pompeia, S. (2021). Factor structure and psychometric properties of the Persian versions of the pediatric daytime sleepiness scale and morningness–eveningness scale for children. Journal of Education and Health Promotion, 10(1), 343. doi:10.4103/jehp.jehp_260_21
  • 30. Lu, L., Dong, M., Jian, S., Gao, J., Ye, L., Chen, H., & Liu, S. (2021). Sex differences in the factors associated with sleep duration in university students: A cross-sectional study. Journal of Affective Disorders, 290, 345–352. doi:10.1016/j.jad.2021.04.025
  • 31. Arrona-Palacios, A., Díaz-Morales, J. F., & Adan, A. (2021). Sleep habits and circadian preferences in school-aged children attending a Mexican double-shift school system. Sleep Medicine, 81, 116–119. doi:10.1016/j.sleep.2021.02.016
  • 32. Wu, D., & Yang, T. (2023). Late bedtime, uncertainty stress among Chinese college students: impact on academic performance and self-rated health. Psychology, Health & Medicine, 28(10), 2915–2926. doi:10.1080/13548506.2022.2067337

The Role of Social Determinants of Health in Chronotypes Among College Students: A Cross-Sectional Study

Yıl 2025, Cilt: 9 Sayı: 3, 333 - 344, 30.09.2025
https://doi.org/10.46237/amusbfd.1567795

Öz

Objective: Sleep health in college students is a public health concern. College students are commonly described as having poor sleep quality, especially those who prefer evening-type (E-type) sleep. Identifying the social determinants of chronotypes may facilitate a better understanding of why such students prefer E-type sleep. The current study aimed to investigate the relationship between social determinants and the sleep preferences of college students living in dormitories (n= 380).
Method: This is descriptive-relational research. The data collection tools included Personal information form, Social Determinants of Health Scale for University Students, and Morningness-Eveningness Stability Scale.
Results: This study revealing a statistically significant relationship between social determinants of health and sleep preferences (p< .05). The study found that college students seemed to prefer morning sleep as their social health needs decreased (r: -0.628) and evening sleep (r: 0.673) as their social health needs increased, concluding that the social health needs of E-type college students should be met in order to improve their sleep quality.
Conclusion: Health professionals, public health nurses, and social workers may identify social determinants of health and employ intervention strategies for college students with social health needs.

Kaynakça

  • 1. Becerra, M. B., Bol, B. S., Granados, R., & Hassija, C. (2020). Sleepless in school: The role of social determinants of sleep health among college students. Journal of American College Health, 68(2), 185–191. doi:10.1080/07448481.2018.1538148
  • 2. Sivertsen, B., Harvey, A. G., Gradisar, M., Pallesen, S., & Hysing, M. (2021). Delayed sleep–wake phase disorder in young adults: prevalence and correlates from a national survey of Norwegian university students. Sleep Medicine, 77, 184–191. doi:10.1016/j.sleep.2020.09.028.
  • 3. Wang, F., & Bíró, É. (2021). Determinants of sleep quality in college students: A literature review. Explore, 17(2), 170–177. doi:10.1016/ j.explore.2020.11.003.
  • 4. Silva, V. M., Magalhaes, J. E. de M., & Duarte, L. L. (2020). Quality of sleep and anxiety are related to circadian preference in university students. Plos One, 15(9), e0238514. doi:10.1371/journal.pone.0238514
  • 5. Montaruli, A., Castelli, L., Mulè, A., Scurati, R., Esposito, F., Galasso, L., & Roveda, E. (2021). Biological rhythm and chronotype: New perspectives in health. Biomolecules, 11(4), 487. doi:10.3390/biom11040487
  • 6. Castelli, L., Galasso, L., Mulè, A., Ciorciari, A., Esposito, F., Roveda, E., & Montaruli, A. (2023). Physical activity and morningness: A helpful combination in improving the sleep quality of active Italian university students. Chronobiology International, 40(8), 1028–1038. doi:10.1080/07420528.2023.2241906
  • 7. Billings, M. E., Hale, L., & Johnson, D. A. (2020). Physical and social environment relationship with sleep health and disorders. Chest, 157(5), 1304–1312. doi:10.1016/j.chest.2019.12.002
  • 8. Koo, D. L., Yang, K. I., Kim, J. H., Kim, D., Sunwoo, J., Hwangbo, Y., & Hong, S. B. (2021). Association between morningness‐eveningness, sleep duration, weekend catch‐up sleep and depression among Korean high‐ school students. Journal of Sleep Research, 30(1). doi:10.1111/jsr.13063
  • 9. Merikanto, I., Kortesoja, L., Benedict, C., Chung, F., Cedernaes, J., Espie, C. A., & Bjorvatn, B. (2022). Evening-types show highest increase of sleep and mental health problems during the COVID-19 pandemic multinational study on 19 267 adults. Sleep, 45(2). doi:10.1093/sleep/ zsab216
  • 10. Norbury, R. (2021). Diurnal preference and depressive symptomatology: A meta-analysis. Scientific Reports, 11(1), 12003. doi:10.1038/s41598-021-91205-3
  • 11. Centers for Disease Control and Prevention. (2022). Social determinants of health. Retrieved from https://www.cdc.gov/about/sdoh/ index.html
  • 12. Kuriyama, K. (2024). Social determinants of sleep quality: association between sleep quality and living environment among older individuals. Sleep and Biological Rhythms, 22(3), 301–302. doi:10.1007/ s41105-024-00533-0
  • 13. Marmot, M. (2020). Health equity in England: the marmot review 10 years on. BMJ, m693. doi:10.1136/bmj.m693
  • 14. Daliri Dizaj, M., & Hatami Khanghahi, T. (2022). Students’ residential preferences: a case study is dormitories of University of Mohaghegh Ardabili. Journal of Asian Architecture and Building Engineering, 21(4), 1348–1363. doi:10.1080/13467581.2021.1941987
  • 15. Cohen, J. (1992). Statistical power analysis. Current Directions in Psychological Science, 1(3), 98–101. doi:10.1111/1467-8721.ep10768783
  • 16. Ekenler, G., & Altınel, B. (2021). Hemşirelik öğrencilerinde uyku kalitesi ile akademik başarı arasındaki ilişkinin incelenmesi. Online Türk Sağlık Bilimleri Dergisi, 6(4), 575–582. doi:10.26453/otjhs.883544
  • 17. Arifuddin MK, Shashiraj HK, & Kavitha BS. (2021). Morningness- eveningness preferences among first year medical students. Scholars International Journal of Anatomy and Physiology, 4(3), 32–34. doi:10.36348/sijap.2021.v04i03.003
  • 18. Johnson, K. F., Brookover, D. L., & Bradbrook, K. (2022). Social health needs and promotive health factors scale for college students: Scale development and initial validation. Journal of American College Health, 70(1), 74–83. doi:10.1080/07448481.2020.1725021
  • 19. Karatana, Ö. (2024). Adaptation of the social determinants of health scale for university students to Turkish: A validity and reliability study. İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi, 21, 769–779. doi:10.38079/igusabder.1224152
  • 20. Demirhan, E., Önder, İ., Horzum, M. B., Masal, E., & Beşoluk, Ş. (2019). Adaptation of the morningness–eveningness stability scale improved (MESSi) into Turkish. Chronobiology International, 36(3), 427–438. doi:10.1080/07420528.2018.1560307
  • 21. Tabachnick, B. G., & Fidell, L. S. (2021). Using multivariate statistics, 7th edition. Pearson.
  • 22. Driller, M., Suppiah, H., Gastin, P. B., & Beaven, C. M. (2021). Questionnaire-derived sleep habits and academic achievement in first year university students. Clocks & Sleep, 4(1), 1–7. doi:10.3390/ clockssleep4010001
  • 23. Martinez-Cardoso, A., Jang, W., & Baig, A. A. (2020). Moving diabetes upstream: The social determinants of diabetes management and control among immigrants in the US. Current Diabetes Reports, 20(10), 48. doi:10.1007/s11892-020-01332-w
  • 24. Phillips, A. J. K., Clerx, W. M., O’Brien, C. S., Sano, A., Barger, L. K., Picard, R. W., & Czeisler, C. A. (2017). Irregular sleep/wake patterns are associated with poorer academic performance and delayed circadian and sleep/ wake timing. Scientific Reports, 7(1), 3216. doi:10.1038/s41598-017-03171-4
  • 25. Acar, G. A. (2018). Sağlıkla ilgili eğitim veren fakültelerdeki öğrencilerin uyku kalitesinin belirlenmesi. Pamukkale Medical Journal. doi:10.31362/ patd.399606
  • 26. Yilbas, B., & Gunel Karadeniz, P. (2022). The relationship between chronotype and impulsivity, attention-deficit disorder, internet, social media, and smartphone addiction. Alpha Psychiatry, 23(4), 203–209. doi:10.5152/alphapsychiatry.2022.21656
  • 27. Hasan, M. M., Jankowski, K. S., & Khan, M. H. A. (2022). Morningness- eveningness preference and shift in chronotype during COVID-19 as predictors of mood and well-being in university students. Personality and Individual Differences, 191, 111581. doi:10.1016/j.paid.2022.111581
  • 28. Önder, İ. (2022). Association of happiness with morningness - eveningness preference, sleep-related variables and academic performance in university students. Biological Rhythm Research, 53(6), 950–965. doi:10.1080/09291016.2020.1848266
  • 29. Nouri, A., Esmaeili, F., Seyedi, H., Rezaeian, S., Panjeh, S., Cogo-Moreira, H., & Pompeia, S. (2021). Factor structure and psychometric properties of the Persian versions of the pediatric daytime sleepiness scale and morningness–eveningness scale for children. Journal of Education and Health Promotion, 10(1), 343. doi:10.4103/jehp.jehp_260_21
  • 30. Lu, L., Dong, M., Jian, S., Gao, J., Ye, L., Chen, H., & Liu, S. (2021). Sex differences in the factors associated with sleep duration in university students: A cross-sectional study. Journal of Affective Disorders, 290, 345–352. doi:10.1016/j.jad.2021.04.025
  • 31. Arrona-Palacios, A., Díaz-Morales, J. F., & Adan, A. (2021). Sleep habits and circadian preferences in school-aged children attending a Mexican double-shift school system. Sleep Medicine, 81, 116–119. doi:10.1016/j.sleep.2021.02.016
  • 32. Wu, D., & Yang, T. (2023). Late bedtime, uncertainty stress among Chinese college students: impact on academic performance and self-rated health. Psychology, Health & Medicine, 28(10), 2915–2926. doi:10.1080/13548506.2022.2067337
Toplam 32 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlığın Sosyal Belirleyicileri
Bölüm Araştırma Makaleleri
Yazarlar

Özlem Karatana 0000-0002-1985-8256

Mesut Karaman 0000-0002-7584-0800

Yayımlanma Tarihi 30 Eylül 2025
Gönderilme Tarihi 15 Ekim 2024
Kabul Tarihi 14 Ocak 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 9 Sayı: 3

Kaynak Göster

APA Karatana, Ö., & Karaman, M. (2025). The Role of Social Determinants of Health in Chronotypes Among College Students: A Cross-Sectional Study. Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 9(3), 333-344. https://doi.org/10.46237/amusbfd.1567795